Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $20,892.96	Facility		$1,380.38	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $11,481.54	Facility		$1,000.00	$1,071.52	$11,481.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $13,182.57	Facility		$758.58	$1,479.11	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,479.11	Facility		$1,122.02	$1,380.38	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $3,235.94	Facility		$977.24	$1,000.00	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94